National Provider Identifier [NPI]: |
1609840222 |
Last Name Of The Provider |
GLANTON |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
222 SIDNEY BAKER ST S |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
KERRVILLE |
Zip Code Of The Provider |
780285994 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
8316 |
Number Of Medicare Beneficiaries |
881 |
Total Submitted Charge Amount |
774249 |
Total Medicare Allowed Amount |
384200.26 |
Total Medicare Payment Amount |
293596.74 |
Total Medicare Standardized Payment Amount |
306461.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1263 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
27996 |
Total Drug Medicare AllowedAmount |
14561.71 |
Total Drug Medicare PaymentAmount |
10980.63 |
Total Drug Medicare Standardized Payment Amount |
10980.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
7053 |
Number Of Medicare Beneficiaries With Medical Services |
881 |
Total Medical Submitted Charge Amount |
746253 |
Total Medical Medicare Allowed Amount |
369638.55 |
Total Medical Medicare Payment Amount |
282616.11 |
Total Medical Medicare Standardized Payment Amount |
295480.44 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
286 |
Number Of Beneficiaries Age 75 to 84 |
311 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
425 |
Number Of Male Beneficiaries |
456 |
Number Of Non Hispanic White Beneficiaries |
753 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
109 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
729 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
152 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.7148 |